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Postpartum Healing: Nutrition Basics

9/27/2017

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The work your body is doing: Shedding what was made for pregnancy and is no longer needed, healing from birth and making milk.
How you can help: Give your body what it needs to do this work - proper nutrition, hydration and rest.

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Good nutrition is foundational to good health — especially during postpartum. Figuring out how to eat well can be challenging at anytime, but can feel especially overwhelming while getting to know a new baby and managing new routines or even a whole new daily lifestyle. But, with a little bit of planning, eating well can be fairly simple. Let’s start by looking at which foods can help us the most, after birth. 

Beneficial foods, postpartum
There is a long list of foods that are healing and delicious (especially when prepared well). Be intentional about adding these specific things into your meals and snacks:
  • good, healthy fats 
  • probiotic foods
  • dark greens
  • good, quality meats
  • purple foods (raisins, prunes, beets)
  • nuts and seeds
  • root vegetables
  • bone broths  
  • made from scratch
  • made from fresh ingredients
  • warm
  • soft, well-cooked, slow-cooked 
  • simple (think: fewer ingredients)
  • bonus points if your meal can be eaten with one hand (mugs and straws are helpful)

Foods that are not as beneficial as others, postpartum
It’s not surprising to find that the least beneficial postpartum foods are the same foods that are least beneficial in other stages of life:
  • dairy
  • over-processed grains and densely-glutinous foods (ex: bagels)
  • fried foods
  • msg, carrageenan, nitrates
  • added sugar
  • alcohol
  • caffeine (gasp!)
Avoiding this short list of foods during your postpartum will really help your healing process. If you find yourself craving some of these things, eat something rich in good protein and fat, first — see if the craving goes away after you’ve given yourself a more nourishing option.

Keep some basics on-hand
Before your little one makes his or her arrival, make a few nourishing staples and tuck them into your pantry and freezer:
  • bone broth 
  • soup
  • postpartum herbal tea 
  • crockpot meal (protein + veggies + fat)
  • stewed fruit (can be added to oatmeal, or made into a crisp)

Ask for help
So many people would love to help after the birth of a baby. Share this guide with your loved ones and ask them if they would consider dropping off a nutritious meal after baby's arrival (you can leave a cooler on your front steps for food to be placed in, in case they stop by at a time when you don't want to be disturbed).

Eat throughout the day (and night)
It takes more calories to feed a baby than it does to grow a baby (yep, seriously). Eating well and often is important for milk supply and is crucial if we want to avoid the dreaded blood sugar drop that results in hanger. Keep a few snacks on your nightstand, so that you always have some fuel close at hand.

Last, but not least, don't forget to hydrate
Water is wonderful, but fluids provide another opportunity to supply ourselves with nutrients. Broths, herbal teas, a splash of apple cider vinegar or a squeeze of citrus + a pinch of salt added to your water, are all good options.

Eating well may not always feel easy, but it is so, so worth it. We promise.
-Kate and Amber

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Out of Hospital Birth is On the Rise in Minnesota

9/27/2017

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This is very exciting news! Thank you to our MCCPM members, for all of their hard work!

Minnesota births at homes and birth centers rise more than 300 percent

Press Release by MCCPM
Minneapolis, Minn.--The number of Minnesota babies born outside of a hospital setting rose by 340% percent from 2005 to 2015, according to birth certificate data from the Minnesota Department of Health.
More than 1.93 percent of births (1335 babies) in Minnesota in 2015 occurred outside of a hospital—mainly in homes and freestanding birth centers—up from 0.57 percent of births (404 babies) in 2005. As displayed in the bar graph, birth centers became available in 2010 when state licensure for birth centers was passed into law.

“As the numbers of freestanding birth centers and midwives providing planned home births continue to rise, pregnant people and families have more choices for safe and individualized maternity care,” said Kate Saumweber Hogan, Certified Professional Midwife, Licensed Midwife, member of the Minnesota Council of Certified Professional Midwives (MCCPM), and president of the MN Chapter of the National Association of Certified Professional Midwives. “The type of care midwives are trained to provide has been proven to reduce complications, interventions, birth injury, trauma, and cesarean section, while providing greater client satisfaction.”
Births occur outside of hospitals more frequently in greater Minnesota than in the Twin Cities metro area. In 2015, 2.09 percent of babies born in greater Minnesota counties were born outside of hospitals, while 1.82 percent of babies in the seven-county metro area were born outside of hospitals, according to health department data.

According to MN Department of Health’s Report on Obstetric Services in Rural MN, the quality of maternal care in rural Minnesota has been on the decline in recent years. There are several possible factors for this, including aging populations in rural communities, obstetric workforce shortages, and costs to implement technology or update facilities to maintain obstetric services. As a consequence, many rural areas have inadequate obstetric coverage. A lack of local access to obstetric services is more than just an inconvenience for rural pregnant people. Extensive travel to their care provider can result in delayed initial prenatal care visits, missed return visits, and late identification of obstetric complications. Beth Bergeron is a Certified Professional Midwife, Licensed Midwife, and MCCPM member experienced in serving rural areas of the state, based in Moorhead, MN. Beth shares, “Midwives in rural areas may be providing more culturally sensitive and personalized care that appeals to certain populations and that rural community hospitals find difficult or unable to provide.”
Nationally births outside of hospital settings have increased since 2005. According to the Centers for Disease Control and Prevention, the percentage of births occurring outside of hospitals increased from about 0.9 percent of U.S. births in 2005 to about 1.5 percent of U.S. births in 2015. In 2015, 61,041 births in the U.S. occurred outside of a hospital, including 38,542 home births and 18,892 births at birth centers.
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About the Minnesota Council of Certified Professional Midwives
The nonprofit Minnesota Council of Certified Professional Midwives promotes, protects, and preserves midwifery as practiced by certified professional midwives in the state of Minnesota. The council is committed to safe maternity care provided in an out-of-hospital setting. For more information, visit http://www.minnesotamidwives.org.
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Dinner

9/13/2017

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Onion. Garlic. Coconut Milk. Water or Broth. Tomato. Herbs and Spices of Choice. Chicken.

Throw it in the crockpot and walk away (4-6 hours on high, 6-8 hours on low). Serve over rice, potatoes, veggies, whatever floats your boat. <3

Want the exact recipe I used? I will try to give it to you - I'm not very good at measuring when I cook, but here's my best guess at what I threw in...

Crockpot Chicken Tikka-Ish

Ingredients
1 lb. raw chicken (I use the less-expensive cuts, if I'm not using a whole chicken - legs and thighs)
1 organic onion, diced
1-2 spoonfuls of minced garlic/3-4 cloves, if you're mincing it yourself
1 organic tomato, diced
1-3 spoonfuls of tomato paste
1 can of coconut milk
a spoonful of coconut oil 
1C of leftover bone broth (I fill the empty coconut milk can halfway - easy "measuring")
1/2C of cilantro, chopped

Anywhere from a pinch to 2t of the following:
cloves (pinch)
turmeric
ginger
garam masala
salt
red pepper flakes

To Make
I put it all in the crockpot on low and it was ready in under 6 hours. I sautéed some cauli-rice (surprisingly tasty) in coconut oil to serve the deliciousness over. Also, I should mention that I made two batches at once - one for the crockpot and the other in a gallon-sized ziplock bag that I labeled with a sharpie:

Chicken Tikka-ish
Defrost in fridge
Place in crockpot on low, for 6 hours
Serve over veggies, potatoes or cauliflower rice


Now I have an extra dinner that can be used when I'm nursing a birth hangover and don't feel like cooking (but also don't feel like eating junk that will make me feel like a slug). You could use your extra meal on a day when you know you'll be home late and will be in the same boat, or you could save it in your freezer for a healthy, filling postpartum meal!

XO,
​Kate

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BMI, FYI: Weight, Pregnancy and Home Birth.

9/12/2017

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Dear Kate the Midwife,
​
I have high BMI/haven't lost "the baby weight" from my last pregnancy/have been told I am overweight - can I still have a home birth?

Can your weight be an influence on your health and how you feel, physically?
Yes.
​
Can there be negative side effects to carrying more weight than what our body needs?
Of course.

But.
​
When I sit with someone for the first time, when we are feeling each other out and wondering whether or not we're a good fit for one another, BMI is not at the forefront of my mind. No. Want to know what I care a heck of a lot more about? Here it goes...
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Do you choose to fuel your body with good, real food?

Lots and lots of vegetables. Clean proteins. Healthy fats. Probiotic foods (one of us is a super-fan of these fermented friends (Amber), the other is learning to embrace them (Kate)). Cooking from scratch. Nutritive beverages. Bonus points if your food is organic and locally sourced (one of the perks of living in/near farmland or close to a good farmer's market). Confused about what good nutrition means, but really want to learn? That's fantastic! Happy to help, in any way I can. Overwhelmed financially and feeling like good, healthy foods are out of reach? Shoot me a message - I'll share some super inexpensive recipes and ways to stretch out a kitchen-dollar. Have zero time? Again. Hit me up. I'll help.
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Do you sleep like a champ (or, at least make every effort to)?

Sleep is how we reset. It is how our body heals from our day. It is how our brain can concentrate on processing all of the things we encountered during our waking hours. Good sleep is crucial for our whole-health. 
Now, I know (I know) that a straight-8 is not always obtainable when you have an itty-bit(s) at home (or when you're a midwife who is constantly invited to awesome all-night birthday parties). On the nights, or in the seasons of life, when your sleep is less-than-optimal, do you make finding extra rest a priority? Do you "sleep when the baby sleeps"? Do you have mandatory "rest time" in your home? Do you take a portion of your lunch break at work to close your eyes? Do you say "NO" to the extra things - do you set up boundaries with the people in your life in a way that allows for regular sleep?
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Do. You. Move?

We have GOT to move, people - for real and for serious. We (and by "we" I mean me, too) are so sedentary in the U.S. (generalizing here, of course - you amazing movement-fueled mamas, I tip my hat to you!). So many common complaints/discomforts can be remedied, in whole or in part, simply by moving our bodies.

But Kate, it's expensive!
Uh, no. Walking is free.

But Kate, it's really hard to get a workout in when you have kids!
If you are averse to the word "workout" *fist bump*, change your mindset around what movement means. Have you noticed how much our kids move in a single day - heck, in a single minute?? Move your body with your kiddos. You don't have to be fancy - play a game of "What Animal Am I?", walk to the library instead of driving, or play a game of Chase in the backyard (you get the idea). 

But Kate, WINTER.
That's what coats and hats and gloves are for. Move.

But Kate, I'm tired.
Yep. Me too. I feel ya'. Work, kids, errands, second jobs, trying to keep your home clean - I understand. Move, anyway. You might even find that you have more energy after a few weeks of daily movement.

But Kate, it's boring.
Make it fun! Go do something active with a friend, turn on some tunes, laugh with your partner and/or your kiddos or come join me on a hike, sometime! 

Okay... where do I start? 

My personal favorites (for myself and for pregnant people):

walking/hiking outside 
ALWAYS outside. The outdoors are so freaking restorative for our brains and  spirits.

yoga 
I really have to be in the mood, both in mindset and in my checkbook for this one, but anytime I go I'm glad I did.
(Psst! Candlelight yoga feels insanely decadent and so, so lovely.)

swimming 
I don't do this in a "normal" way - I prefer pretending to be a  mermaid (What? It's fun!) or playing a good game of water tag, to the breast stroke.

foam rolling 
I'm new to this, but love it so far - I purchased a roller and a book and have been watching youtube videos to make sure I'm "doing it right".

Side Note:
I know Amber would be bummed if I didn't mention dry-brushing and massage, while talking about moving your body. Ask her about it - she'll totally nerd-out with you on these topics. 
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Do you create space in your life for things that feed your soul?

Do you find time for quiet, do you have a creative outlet, do you pray, meditate or journal - what ever jam is your jam, whatever it means to you, do you make time for art and beauty? Do you acknowledge the good in the world and in your life? Do you have a heart of gratitude and of joy? Do you take a minute to just... BREATHE?

Last, but certainly not least...

Do you have community? Do you have people in your life that you serve with your whole heart and who love and serve you back? If not, please - please - find your people. Find your people. Carry one another' s burdens and lighten the loads. Laugh, cry and do life together. Bring meals. Love on kids. Be a shoulder. Be an ear. Ask for help when you need it. Offer it, every time you can. Cheer each other on, hold each other accountable - find your people.

These are the things. These are the things I look at first, when assessing overall health. So, be good to yourselves. If you need some cheerleading, I'm here - I don't think you'll need it, though. You are good, smart and strong. You can do this.

Love,
​Kate

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    Kate

    Mama. Midwife.
    #mamamidwife

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